Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.89 / $686.40 / $1,232.00	Facility		$273.89	$686.40	$1,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $256.22 / $607.20	Professional		$96.16	$256.22	$607.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $440.00 / $1,144.00	Facility		$440.00	$440.00	$1,144.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $212.65 / $695.20	Professional		$176.00	$212.65	$695.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $440.00 / $440.00	Facility		$264.00	$440.00	$440.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $440.00	Professional		$440.00	$440.00	$440.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.92 / $929.50 / $1,174.53	Facility		$537.92	$929.50	$1,174.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.88 / $534.08 / $1,427.52	Professional		$205.88	$534.08	$1,427.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $332.00 / $990.00	Facility		$82.00	$332.00	$990.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $298.83 / $440.00 / $805.20	Professional		$298.83	$440.00	$805.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $149.47 / $149.47	Facility		$149.47	$149.47	$149.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $374.00 / $517.88	Professional		$149.47	$374.00	$517.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $929.50 / $1,174.53	Facility		$254.50	$929.50	$1,174.53
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $404.80 / $1,320.00	Professional		$234.34	$404.80	$1,320.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $198.00 / $690.73	Professional		$138.60	$198.00	$690.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $334.49 / $466.40 / $466.40	Facility		$334.49	$466.40	$466.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $190.92 / $434.56 / $517.88	Professional		$190.92	$434.56	$517.88